Treatment of limbal melanocytoma with full excision and a fresh homologous corneoscleral graft in a dog
Pigatto, João Antonio TadeuAlbuquerque, Luciane dePigatto, Anita MarchionattiSilva, Alessandra Fernandez daTorikachvili, MarcelaVargas, Eduarda Valim Borges deDriemeier, David
Background: Limbal melanoma has been diagnosed in dogs and due to progression may cause vision loss and eyeballremoval. Definitive diagnosis is made through histopathological examination. Therapeutic options include full thicknessresection and repair by homologous corneal tissue, synthetic graft material, and enucleation. In this report, we describe acase of limbal melanocitoma in a dog that has been treated successfully with fresh homologous corneoscleral graft.Case: A 5-year-old female Labrador was referred to the Ophthalmology Veterinary Section of the Federal University ofRio Grande do Sul (UFRGS), Porto Alegre, Brazil, with a history of a pigmented mass located on the left eye. Ophthalmicexamination revealed a pigmented mass located at the left temporal limbus with corneal involvement. Surgical excisionfollowed by reconstruction using fresh homologous corneoscleral was recommended. The patient was premedicated withacepromazine (0.05 mg/kg, IM) and meperidine (20 mg/kg, IM). Anaesthesia was induced with propofol (10 mg/kg, IV)and maintained with isoflurane. Atracurium (0.2 mg/kg, IV) was administered to maintain a central eye position. The massand a free margin were removed by full-thickness corneoscleral resection. A corneoscleral graft was harvested from a dogthat had been euthanised for reasons unrelated to this study and sutured with 9-0 polyglactin 910 using a simple interruptedpattern. The mass was immediately fixed in 10% neutral buffered formalin and submitted for histological sectioning androutine staining. Based on the histopathological analysis it was confirmed limbal melanocytoma. Postoperative treatmentconsisted...(AU)
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